| Doctor Name: | DEBORAH WALSH |
| NPI Number: | 1003944224 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 4928 |
| Business Practice Address: | 320 E Main St Suite 207 Ravenna, OH - 442663177 |
| Business Phone Number: | 3302963700 |
| Business Fax Number: | 3302961480 |
| Mailing Address: | 320 E Main St, Suite 207 RAVENNA |
| State: | OH |
| Postal Code: | 442663177 |
| Phone Number: | 3302963700 |
| Fax Number: | 3302981460 |
| NPI Enumeration Date: | 03/01/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC1900X |
| License Number: | 4928 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Counseling |
| Taxonomy Definition: | |